None listed
Conditions
Brief summary
Description of the study: This project entitled ‘Group psychological intervention for people with depression and overweight/obesity’ is a trial of a newly developed group intervention program for people with both depression and overweight concerns. Purpose of the study: The project aims to evaluate the effectiveness of a new group protocol which has been developed specifically to target overweight concerns in people who are experiencing depression. The majority of current approaches for weight loss and weight management focus primarily on dieting and exercise, and while programs for depression often touch on these issues they are generally not the primary focus. Thus the newly developed program targets both problems simultaneously. The main aims are to find out if this will: - Reduce depression - Increase exercise and healthy eating habits - Decrease unhealthy eating habits (such as emotional eating) - Improve stress management - Improve body image and self-confidence - Result in healthy weight loss To be clear, weight loss is not the sole or primary aim of this group program (but is likely to be a secondary outcome). What will I be asked to do? We invite you to participate in a trial of this new program. Participation involves attending ten weekly two-hour group sessions. Participation is voluntary and you may withdraw at any time. Groups will include between eight and twelve participants (ten being optimal), and will be facilitated by two mental health professionals. Sessions have been designed to be highly interactive – they will involve some teaching style presentations, but will mostly be made up of discussions, group exercises, and skills practice. In addition to work conducted in session, participants are expected to practice skills out of session also, to assist with learning and development (for example, monitoring thoughts and emotions, practising relaxation, setting and carrying out goals). Participation in this trial also involves attending several appointments with one of the researchers outside of the program itself for the purpose of assessment and evaluation. The initial appointment held before starting the program will involve a brief face-to-face interview and completion of a number of questionnaires – this appointment is expected to take between 1 and 1.5 hours. The interview component focusses on your level of current depression; the written questionnaires assess other relevant information such as your current activity and eating habits, health beliefs, sleep, self-esteem and body image. This appointment will be repeated at the end of the program, as well as well as at three and twelve months post-program, to help us determine if the new protocol is helpful. We understand that participation in this program involves considerable time commitment on your part. What benefit will I gain from being involved in this study? Our expectation is that by completing this program you are likely to learn new skills and strategies to improve
Interventions
A 10 week group programme devised by mental health clinicians:
Taryn Lores - Psychologist - Course Facilitator - practicing Health psychologist
Kathryn Collins Psychologist - practicing clinical psychologist – Co-Director Psychology SA Health
Anne Burke Psychologist - practicing clinical psychologist - Co-Director Psychology SA Health
Dr Mike Musker - Senior Research Fellow and Registered Mental Health Nurse - Course Facilitator - 30 years experience in mental health nursing
Professor Julio Lici
A 10 week group programme devised by mental health clinicians: Taryn Lores - Psychologist - Course Facilitator - practicing Health psychologist Kathryn Collins Psychologist - practicing clinical psychologist – Co-Director Psychology SA Health Anne Burke Psychologist - practicing clinical psychologist - Co-Director Psychology SA Health Dr Mike Musker - Senior Research Fellow and Registered Mental Health Nurse - Course Facilitator - 30 years experience in mental health nursing Professor Julio Licinio - Psychiatrist - 30 years as a psychiatrist The clinical team has developed a manual that will be facilitated by Dr Michael Musker and Taryn Lores, both experienced in providing group interventions. The groups will be measured using standardised and validated clinical tools: These assessments will occur prior, at the end of the groups i.e) after week 10 of the group; at 3 months, and 1 year after the interventions. Program Overview Session 1 – Introducing the Program Session 2 – Establishing a Foundation (Education) Session 3 – Getting Moving (Behavioural Strategies I) Session 4 – Building Awareness (Behavioural Strategies II) Session 5 – Addressing Emotions (Stress Management) Session 6 – Watching Your Thinking (Cognitive Strategies I) Session 7 – Challenging Your Mind (Cognitive Strategies II) Session 8 – Valuing Yourself (Self-Worth & Body Image) Session 9 – Considering the Bigger Picture (Broader Health) Session 10 – Planning for the Future (Relapse Prevention) Program Aim To assist people with depression to lose weight, improve their physical health and mental health Specific goals: • Improve relationship with body and mind • Increase understanding of nutrition and healthy living • Foster a more positive relationship with food and eating, and with exercise and activity • Lose weight / move toward most healthy, comfortable weight • Improve mood, resilience and mental wellbeing Facilitators • Psychologist • Co-Facilitator Duration • 10 x 2 hour weekly sessions (held on consecutive weeks) Session Structure • Review of key topics from previous session/s • Review of out of session work • Presentation/discussion of new topic/s • Break (15 minutes) • Group exercises and discussions (practice of new skills) • Setting of out of session work • Session summary Notes • Participants will be recruited and screened prior to program commencement • Program is designed to be highly interactive; commitment to group participation will be gained during recruitment and screening process Session Topic Worksheets 1 Introduction • Introduction to program • Group values & introductions • CBT model & weight conceptualisation • Self-monitoring • Program outline • CBT Model handout • Self-Monitoring worksheet 2 Foundation (Education) • CBT model • Nutrition & eating • Exercise & activity • Mental health • CBT Model handout • Mind & Body Health handout • Healthy Eating guideline • Self-Monitoring worksheet • Eating diary 3 Moving (Behavioural Strategies I) • Values • Goal-setting • Increasing activity • Structured problem-solving • Personal Values handout • Increasing Activity handout • Activity schedule • Goal-Setting worksheet • Problem-Solving handout • Self-Monitoring & Eating diary 4 Awareness (Behavioural Strategies II) • Monitoring body cues • Mindful eating • Alternatives to comfort eating • Monitoring Body Cues handout • Mindful Eating handout • Alternative Coping Strategies for Emotional Eating handout 5 Emotions (Emotional Regulation) • Emotion and acceptance • Stress and relaxation • Emotions & Stress handout • Acceptance / Meditation handout • Relaxed Breathing handout • PMR handout 6 Thinking (Cognitive Strategies I) • Program review • Unhelpful thought patterns • Monitoring and identifying thoughts • Thoughts, Feelings & Unhelpful Patterns handout • Thought Monitoring worksheet • Program Review worksheet 7 Challenging (Cognitive Strategies II) • Challenging unhelpful thinking • Thought Monitoring worksheet • Thought Challenging Worksheet 8 Self-Value (Self-Worth/Body Image) • Core beliefs • Self-worth and body image • Building worth and acceptance • Self-Worth & Body Image handout • Challenging Core Beliefs worksheet • Celebrating Strengths worksheet 9 Bigger Picture (Broader Health) • Sleep quality • Support network • Improving Sleep handout • Social Health handout 10 Future Directions (Relapse Prevention) • Program summary • Planning for the future • Participant presentations • Program Summary handout • Plan for Future worksheet • Goal-Setting worksheet • Program Evaluation sheet We will record a list of attendance and make notes about participation following each session.
Sponsors
SAHMRI
Study design
Allocation
Non-randomised trial
Intervention model
Single group
Primary purpose
Educational / counselling / training
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
Participants • 8 – 15 participants per group (permitting for 30% dropout during the course) • BMI range >25 – (overweight and obesity) • Diagnosis of depression (as per clinical assessment using HAM D) >8
Exclusion criteria
Other Serious Mental Health Disorders such as Schizophrenia, Bipolar Disorder, Mania Other Serious Physical Disorders that would have current physiological effects on weight or mood, such as cancer, thyroid disorders, or other major physical conditions. Must be able to travel to and from the venue and to commit to 10 week programme.
Outcome results
None listed